Individual provider Active NPI

Jarrod John Henry, PA-C

  • Medical Physician Assistant
  • Augusta, ME
National Provider Identifier
1083687024
Registry record updated Jul 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA1334 Issued in ME
Practice address
12 Shuman Ave
Augusta, ME 04330-6020
Phone
(207) 622-8600
Fax
(207) 622-8601
NPI assigned
Feb 9, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA1334 ME Primary

Addresses

Primary practice location

12 Shuman Ave
Augusta, ME 04330-6020

Mailing address

12 Shuman Ave
Augusta, ME 04330-6020
Phone (207) 622-8600

Other practice location 1

35 Medical Center Pkwy
Augusta, ME 04330-8160
Phone (207) 622-8600

Other identifiers 3

IdentifierTypeStateIssuer
838363OtherMEDICARE GROUP ASSIGN
P00320656OtherMEDICARE RAILROAD
838363OtherBS GROUP ASSIGN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120710000269 ME Practitioner - Physician Assistant 9638183288 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
86.22 of 100Reported as group
Quality
75.39
Promoting interoperability
84
Improvement activities
40
Cost
75.32

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Mainegeneral Medical Center CurrentSince May 1, 2012 Accepting new patients
Mainegeneral Medical Center CurrentSince Sep 1, 2013 Accepting new patients
State of Maine CurrentSince Jan 2, 2024 Accepting new patients
Mainegeneral Medical Center CurrentSince Dec 5, 2014 Accepting new patients
State of Maine CurrentSince Jan 2, 2024 Accepting new patients
Mainegeneral Medical Center Past Accepting new patients

Locations

109 Capitol St
#11
Augusta, ME 04330

15 Enterprise Dr
Augusta, ME 04330
Phone (207) 621-7500

35 Medical Center Pkwy
Augusta, ME 04330
Phone (207) 621-3639

442 Civic Center Dr
Augusta, ME 04330
Phone (207) 622-6319

12 Shuman Ave
Augusta, ME 04330
Phone (207) 623-3900

656 State St
Bangor, ME 04401
Phone (207) 941-4000

150 Dresden Ave
Gardiner, ME 04345
Phone (207) 621-9337

149 North St
Waterville, ME 04901
Phone (207) 622-1959

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1139443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784246400000",
    "number": "1083687024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 SHUMAN AVE",
            "city": "AUGUSTA",
            "state": "ME",
            "postal_code": "043306020",
            "telephone_number": "207-622-8600",
            "fax_number": "207-622-8601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 SHUMAN AVE",
            "city": "AUGUSTA",
            "state": "ME",
            "postal_code": "043306020",
            "telephone_number": "207-622-8600",
            "fax_number": "207-622-8601"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "35 Medical Center Pkwy",
            "address_purpose": "LOCATION",
            "city": "Augusta",
            "state": "ME",
            "postal_code": "043308160",
            "country_code": "US",
            "telephone_number": "207-622-8600",
            "fax_number": "207-622-8601",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HENRY",
        "first_name": "JARROD",
        "middle_name": "JOHN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-09",
        "last_updated": "2026-07-17",
        "certification_date": "2026-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "ME",
            "license": "PA1334",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP ASSIGN",
            "identifier": "838363",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P00320656",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BS GROUP ASSIGN",
            "identifier": "838363",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Augusta, ME

Sources for this page

Verify at the official NPI Registry.